Healthcare Provider Details

I. General information

NPI: 1285399873
Provider Name (Legal Business Name): AMY SHEARER WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY LYNN SHEARER

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL RD
PRINCE FREDERICK MD
20678-4017
US

IV. Provider business mailing address

130 HOSPITAL RD STE 103
PRINCE FREDERICK MD
20678-4029
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-4000
  • Fax:
Mailing address:
  • Phone: 410-535-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29261
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: